We are happy to report that as of 4/24/2015, we have fixed this functionality.
Address labels or file to use for Mail Merge would start correcting the most important lack in EHR: communicating new or updated requirements, or notifying of practice change of address or location, to all the patients. Also sending out holiday greetings would be great.
Hi everyone—as you’ve all noticed, we reintroduced the medication list into the chart note. You’ll also be able to see duplicates and previous prescriptions easier, as of December 2015.
More information about this workflow can be found at this knowledge base article:
Yes, yes and yes.
New things I like: the uniformly generic names for meds, the alphabetical order always, not just after clicking. Bravo for those.
It's just horribly inaccessible.
I agree with a wider and longer and more compactly printed list, because I really liked having the old information of prior refills and sigs visible on the list, so I didn't have to click on each med to get that info, and then try to remember that one while clicking on another one.
Bonus points if you can let the Med list "float,"(as you did with Message Reply), to keep it visible until I close it, even while changing screens to see other parts of the chart.
I totally agree. Right now, if I don't want to see Immunizations every time I open the Summary page I can block it when I Customize. But then when I DO want to see the immunizations -- I have to RE-customize to include immunizations, then RE-customize again after I'm done needing to see the immunizations.
One solution would be a "right click" function on the excluded "Go to..." menu items, that will display the excluded Summary section, and allow it to be viewed, edited and then closed, without having to add that section back to the Customized Summary page and then remove it.
I agree that putting Food and Environment Allergies on a different "Go to..." item, enabling them to be suppressed from the customized summary display, would be helpful. We don't have much practical use for those except for allergists and maybe pulmonologists or gastroenterologists.
I also agree that Past Appointments is redundant. We can look at the Encounter list that's right there. Seeing Pending Appointments is very useful.
The new Reminder function might be more useful if a scheduled reminder task and date also shows up on the Summary page above Pending Appointments, so that when Pending Appointments become Cancellations or No Shows there is an indication of what's due that we can see when, for instance, we're deciding how many refills we should approve to make sure the next refill request will cause us to verify that the needed appointment or preventive care has occurred.
Addendum to last comment I submitted: With individual PF accounts each psychologist would have to do their own scheduling, but in my experience most psychologists do their own scheduling anyway. If staff do demographics, eligibility and scheduling for several psychologists, then the staff would need limited non-clinical access to the separate accounts of all the psychologists that they schedule.
One solution would be for each provider to set up their own Practice Fusion account. That way their patients would only be accessible to them. If another psychologist starts to see that patient, the first psychologist would do a "Transfer of Care" to the second psychologist, the same as we do when a patient transfers to another primary care provider.
Can you define “RF” for the rest of this thread so they know what you’re referring to?
I also find it difficult to see which medications need refills when I'm with a patient, because the list no longer has sig and past refill information listed. Currently I have to click on each medication. Then I have to remember which ones I already clicked on and/or refilled. I think this is another limitation of the 3-column format, that would be solved by using full-width blocks for each section on the Summary page. The "Go to..." menu would still work, and it would be easier for users to learn the order of the blocks, to scroll down more efficiently. You could put a color coded header and border on each section to make navigation even easier. But the information we need to see at a glance for the Medications, and for the other sections, goes better full width, ruled, without white space. True, narrower columns are quicker to scan. But you could accomplish the same thing by lightly shading alternate rows, and also by shading or bold facing each row as the cursor rolls over it. Information becomes exponentially less useful with each added click required to access it.
Background Autosave every 60 seconds as in email programs would REALLY help. Keep in mind that every time there is a screen change in PF, such as for Saving, there is a 2 to 10 second disruption of our thought process, and that's when mistakes and omissions occur. Also, I have a scribe, and we both have the patient's chart open during an appointment; she works on the SOAP note while I update Dx, Rx, PMH info, and look at documents, and prescribe. I was VERY happy when it became possible for both of us to be signed in to work on a chart at the same time. But the receptionist currently can't print out the completed plan for the patient at checkout until both of us close the chart in our laptops, so there's a lot of yelling, "I closed" and "Did you close?" between us and reception. Not very professional. I hope that an Autosave feature will enable reception to print the plan even if I'm still working in the chart. I also would love to be able to make revisions to the SOAP note and have them simultaneously appear on the scribe's screen, the way there is "dual mousing" in the troubleshooting sessions with tech support for various programs online. We found that one or the other of us would lose all our input at "Save" if we both worked on the SOAP note, which is why we went to a strict division of labor. Autosave and dual-mouse capability would really help to give us less to do after hours to complete the SOAP notes.
I’m happy to report that this feature has been built and deployed to the New EHR!
You can learn more about this feature here: http://knowledgebase.practicefusion.com/knowledgebase/articles/485934
These document types are not very relevant to my practice, so can I eliminate some document types, add document types. and merge document types? For example, if I just want a category of "Consults" to cover all op reports, admissions, ER, procedure notes, colonoscopies, EMG/NCS, and several other categories on your list, and those categories have already been assigned to documents by some users, I'd like to be able to convert those documents to the "Consults" category, in other words, merge them all to "Consults." It's easier to remember what the category should be if there are fewer of them, and less chance of looking for documents in the wrong place. Chart notes, Lab Reports, Imaging, Consults, and Correspondence are enough for me. Having fewer categories makes it easier on my uploader, too. And I'd like to have the option of leaving some documents out of the Events column, to avoid cluttering it up. Things like biweekly INR reports, patients' home BP records, glucometer records, food exercise journals, pre-authorization letters, insurance denials, and so on. I'll rarely if ever look at any of those ever again after I first see and upload them, but they're part of the record. I use Correspondence as a category to assign to all the documents that don't need to go into Events.
You asked, we delivered: Remove custom document types
Users can now remove custom document types to more efficiently move through their workflow and to tailor the document type list to best fit changing practice needs.
Learn more about removing custom document types: https://knowledgebase.practicefusion.com/knowledgebase/articles/1847788
Thanks, Dr. Moro. I can definitely see the value in this.
We’d love to hear from other customers if this would be beneficial for their practice as well. The more votes and comments an idea gets, the more likely it is we’ll work it into a future release.
As many of you know, we have deployed the ability for faxes to flow into Practice Fusion from Updox. This method of document publishing may be a positive alternative to scanning of documents.
We will leave this idea as “Acknowledged” for now.
To sign up for this service, please fill in the Updox form here http://info.updox.com/updox-practicefusion/ to create your Updox account or call an Updox representative at (614) 798-8170 ext. 1 to begin the process.
To learn more about this feature, click here:
26 votesDoctor B shared this idea ·
Early on I made a work-around to obviate the need for menus. What I do is have all-in-one templates of normals. For example, the Complete physical exam template in the O section has the whole exam that I always do, on one template item, written with everything normal; then I just change it for abnormal findings, putting the ABNORMAL info in all caps, so it stands out to someone skimming through. Same way I have a Brief visit single template item (with NAD and heart/lung/extremities normals), a DM check-up template (Brief plus feet, monofilament, "Annual ophthalmologic, podiatry, and education visits done within the past year, " any of which I can change to NOT DONE.) And so on.
I have an all-in-one Respiratory template, and I put"congested" nose and "injected" oropharanx in there because almost all patients with URI have those and I got tired of changing it from the normal findings every time.
For Depression Screening, in the S section I put all the symptoms as negatives on a single template item ("Depression screening: No sleep disturbance, appetite disturbance, tearfulness, irritability, feelings of hopelessness, anhedonia. No suicidal ideation or plan.") If there are symptoms, I type POSITIVE FOR: at the beginning, write the positives, and delete them from the negatives ("Depression screening: POSITIVE FOR: TEARFULNESS, FEELINGS OF HOPELESSNESS, ANHEDONIA. No sleep disturbance, appetite disturbance, irritability. No suicidal ideation or plan."). Same with the signs, in the O section -- single template of negatives, change if there are positives.
The all-in-one-templates cover 90% of visits for common problems. Uncommon problems would need a huge menu or lots of menus to cover all the possible symptoms and signs, so I can type weird symptoms and signs faster than I can find them on a menu or a template list. Also, I don't want to distort them with "template item bias."
The New EHR has so many menus that don't fit on my laptop screen so, personally, I'm getting dizzy looking at moving screens and scrolling type all day. I wish all the tasks fit on one screen and all the menus would pop up to the side, so they don't need scrolling, and don't prevent us from seeing the part of the screen we're working on that currently always gets hidden behind the menu. So buttons, radios, icons, all that stuff, bring it on if it lets the type on my screen STAY PUT.
Being able to input or check something ONCE and have it automatically show up EVERYWHERE the information is required (Profile, PMH, FHX, MU, PQRS, Referrals, lab requests, etc.) is the most fervently wished for function of EHR. I hope that's what you mean by "structured."
Importing the patient's own words into the Subjective section may not be as useful as it sounds. It can be too long and not have the info I need. I can't envision a check box form that would cover ALL the problems seen in an Internal Medicine practice. Some very specific problems could have a questionnaire, like URI, UTI, chest pain, abdominal pain, headache. But my MA elicits and enters in the CC the info she knows I always want for those problems, faster than a patient with an iPad could.
Structuring intake answers into Subjective could result in these horrible notes I get from a local Urologist:
"The patient does have pain. The location of the pain is suprapubic. The time since onset of the pain is 3 weeks. The pattern of the pain is intermittent. The pain has a duration of 1 to 2 hours. The frequency of the pain is 2-5 times per day. The quality of the pain is dull. The intensity of the pain is 4/10. The relieving factors are none. The worsening factors are none. The number of times nightly for urination is 3. The patient is not having incontinence. The patient is not having decreased force of stream."
What I write (or teach my scribe to write) in the S section, covers it like this:
"Suprapubic dull 4/10 pain, intermittent, 2-5 times/day for 3 weeks, lasts 1-2 hours. No alleviating or exacerbating factors.
Nocturia x 3; no incontinence or decreased force of stream."
Same info without the torture of form-speak.
Thinking an intake form will help doctors remember to cover all the necessary information also misses the mark; after about the first 2 years of asking the same questions in the same order for the same problems we pretty much have it down.